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FTB 1011 SRH - Notice of Property Compliance - Substandard ...

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STATE OF CALIFORNIA

SUBSTANDARD HOUSING UNIT MS F340

Notice of Property Compliance

FRANCHISE TAX BOARD

PO BOX 1673

SACRAMENTO CA 95812-1673





Substandard Rental Housing

Regulatory Agency Information

Agency:





Address:





Contact Person:





Telephone Number: Date of Noncompliance:









The regulatory agency notified the Franchise Tax Board and the county recorder of your compliance. You may claim state

tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property from the date of

compliance, according to California Revenue and Taxation Code (R&TC) Sections 17274 or 24436.5.



I, _________________________________________, certify that the Notice of Property Noncompliance,

Name and Title



recorded on _____________, in the office of the County Recorder of the County of __________________, is no longer in effect.

Date



Document number ___________. _________________________________________________

Signature







Property Owners

(Attach additional list if necessary.)

1. Name of Owners:  SSN or  CDL:



Mailing Adress:







2. Name of Owners:  SSN or  CDL:



Mailing Adress:







3. Name of Owners:  SSN or  CDL:



Mailing Adress:









Rental Housing Property

Street Address: Parcel: Lot: Block Number:





Mailing Address: (enter only if different from the street address)





Description: (e.g., condominium, duplex, apartment building, house, etc.)









Authorization

 ___________________________________ ___________________________________ __________________

Signature of Authorized Representative of Regulatory Agency Name of Regulatory Agency Contact Date of Signature





Mail or fax duplicate copies to the Franchise Tax Board, county recorder, and property owner.




FTB 1011 SRH C2 (REV 10-2011) SIDE 1 For FTB use only, SRH Number: ____________


Instructions to Complete Notice of Property Compliance.

Follow the instructions below to complete and mail this notice when the owners bring the substandard housing to a

condition of compliance. Do not complete this notice if you did not notify us of noncompliance.

Complete this notice as follows:

Regulatory Agency Information

• Agency: Enter the full name of your agency.

• Address: Enter the complete mailing address, including ZIP Code.

• Contact Person: Enter the name of person to contact for additional information.

• Telephone Number: Enter the area code and telephone number of contact person.

• Date of Compliance: Enter the date your agency was notified this property is in compliance.

Property Owners

• Names of Owners: Enter the name of the individual, previously notified of noncompliance and now notified of


compliance. It is important to mail each owner a Notice of Property Noncompliance.


• Mailing Address: Enter the last known address for the owner named.

• Social Security Number (SSN) or California Driver License Number (CDL): Enter the SSN or CDL. The


Franchise Tax Board cannot take any action, according to R&TC Sections 17274 and 24436.5, without these


numbers.


Rental Housing Property

• Street Address: Enter the street address of the property in noncompliance.

• Parcel - Lot - Block Number: Enter numbers officially assigned to the plot of land.

• Mailing Address: If different from the property street address, enter the last known mailing address of the property

owner, including ZIP Code.

• Description: Enter a brief physical description of the property (e.g., condominium, duplex, apartment building,


house, etc.).


Authorization

The representative should be familiar with the building codes and R&TC Sections 17274 and 24436.5.

• Signature of Authorized Representative of Regulatory Agency: Signature required.

• Name of Regulatory Agency Contact: Enter contact name.

• Date of Signature: Enter date notice signed.

Mail the original Notice of Property Compliance to the property owners listed on SIDE 1. Mail or fax a copy of the Notice of

Property Compliance to:

STATE OF CALIFORNIA


SUBSTANDARD HOUSING UNIT MS F340


FRANCHISE TAX BOARD


PO BOX 1673


SACRAMENTO CA 95812-1673




For privacy information, refer to FTB 1131, Franchise Tax Board Privacy Notice.



Privacy information for third parties, refer to FTB 1131J, Privacy Notice - Third Party Contacts.

Contact Us

Telephone: 916.845.5296

Fax: 916.843.2467









FTB 1011 SRH C2 (REV 10-2011) SIDE 2



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